JACQUELINE WAIT


Address: 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869
Phone: 8449325700

JACQUELINE WAIT (NPI# 1104308360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104308360
Entity Type Individual
Full Name JACQUELINE WAIT
Credential FNP-C
Practice Address 2511 Old Cornwallis Rd Ste 200
Durham
NC 27713-1869
Mailing Address 723 Burnside Trl
Hendersonville
NC 28792-8640
Practice Telephone 8449325700
Practice Fax Number 8664689889
Mailing Telephone 8285134324
Enumeration Date 2018-09-04
Last Update Date 2018-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
5010932 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2511 OLD CORNWALLIS RD STE 200
City DURHAM
State NC
Zip Code 27713-1869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134111057 Vivian Jill Lowery Nurse Practitioner 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713 2005-08-17
1124627112 Darby Shea Mccall Physician Assistant 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-10-21
1902405095 Brandy Clark Nurse Practitioner 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-10-20
1750997896 Laura Camille Schnoor Physician Assistant 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-09-22
1386254068 Courtney Elisabeth Frady Nurse Practitioner 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-08-06
1053920181 Candice Ann Hayes Physician Assistant 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-07-24
1447876396 Emily Cline Nurse Practitioner 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-06-17
1336763176 Fatoumata Bah Nurse Practitioner 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-06-07
1134740137 Traci Gregory Registered Nurse 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-04-30
1922631423 Rachel Hargis Nurse Practitioner 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2020-02-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558977074 Zoe Wellness Clinic/Center 5322 Nc 55, 102, Durham, NC 27713 2020-09-21
1194352542 Mariah Davis Counselor 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 2020-03-25
1316589138 Monarch Community/Behavioral Health 1513 Piperwood Court, Durham, NC 27713 2019-10-14
1205486081 Lisa Mesmer Barnes Nurse Practitioner 5309hwy 55, Suite 105, Durham, NC 27713 2019-09-13
1497315352 Mary Therese Wood Social Worker 1822 E Highway 54, Suite 300, Durham, NC 27713 2019-06-13
1720558307 Kevin D Simmons Counselor 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 2018-11-27
1790265585 Kelli Cryer Counselor 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 2018-08-21
1477039253 Mahavir Rx, LLC Pharmacy 6216 Fayetteville Rd Ste 105, Durham, NC 27713 2018-07-16
1811482862 Tessa Taylor Dentist 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 2018-06-22
1013401579 Emily Louise Haller Counselor 1822 E Hwy 54, Suite 300, Durham, NC 27713 2018-06-19
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699244525 Elizabeth Devore Nurse Practitioner 40 Duke Medicine Circle Clinic Il, Durham, NC 27710-0001 2018-11-20
1649677931 Laura Ann Lewis Nurse Practitioner Dumc 3118 466 G Seeley Mudd Building, Durham, NC 27710-0001 2014-12-02
1255940706 Alicia Mebane Mcmillan Nurse Practitioner 508 Fulton St, Durham, NC 27705-3875 2020-07-29
1083223879 Stanisha Natrice Williams Nurse Practitioner 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2020-07-28
1770132896 Michael Anthony Moore Nurse Practitioner 508 Fulton St, Attn Dr. Campbell. Va Gnp Program, Durham, NC 27705-3875 2019-09-11
1447722301 Jessica H. Steiner Nurse Practitioner 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2018-12-17
1568930196 Kathryn Hord Nurse Practitioner 40 Duke Medicine Cir, Durham, NC 27710-4000 2018-11-13
1750881983 Launiece D Newton Nurse Practitioner 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 2018-02-14
1932619350 Afua Adutwumwaa Antwi Nurse Practitioner 508 Fulton St, Durham, NC 27705-3875 2017-10-11
1588112908 Casey Vinett Nurse Practitioner 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 2016-09-14
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Competitor

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City DURHAM
Zip Code 27713

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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